Effectiveness of physiotherapy in tension-type headache

Author: 
Devangi Desai and Megha Soni

Background: Tension-type headache is primary headache disorder, with lifetime prevalence in the general population ranging between 30% and 78% in different studies. It is characterized by a bilateral, pressing tightening pain of mild to moderate intensity, occurring either in short episodes of variable duration or continuously. The aim of this study was to evaluate the effect of massage and stretching inTension-type headache.
Method: The study was ethically approved by Institutional Review Board. 30 subjects meeting inclusion criteria were divided into experimental and control group. Study duration was 6 weeks. All subjects kept record of headache parameters throughout study duration. Experimental group received physiotherapy in the form of massage and stretching during 3rd and 4th week of study. Control group continued usual care by self or medical practitioner. Outcome measures were headache parameters i.e. frequency and intensity of headache; number of trigger points and HDI. Data was analyzed using non parametric tests at 5% level of significance.
Result: Within group analysis showed significant improvement in all headache parameters in both groups except headache frequency in experimental group. Between group analysis showed statistically significant difference for number of trigger points and functional component of HDI in experimental group.
Conclusion: Physiotherapy should be incorporated as an adjunct to pharmacological treatment for subjects with Tension-type headache.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2019.20081.3913
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